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General NPI Number Information
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NPI Number | 1568380244
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Entity Type | Organization
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Legal Business Name | GATEWAY TO PERINATAL SERVICES FOUNDATION
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 22373 BLUE LUPINE CIR
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5466
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Country | US
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Telephone | 661-889-2411
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Fax |
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Provider Business Mailing Address
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Address Line | 22373 BLUE LUPINE CIR
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5466
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Country | US
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Telephone | 661-889-2411
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARY M MERCER
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Credential |
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Telephone | 661-889-2411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SW0102X
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Taxonomy Name | Women's Health Clinical Nurse Specialist
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License Number |
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License Number State |
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